Individual
KATHRYN MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
637 E 37TH ST, INDIANAPOLIS, IN 46205-3507
(260) 415-9642
Mailing address
637 E 37TH ST, INDIANAPOLIS, IN 46205-3507
(260) 415-9642
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002815A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164005169
IL LICENSE
IL
Enumeration date
02/24/2012
Last updated
07/21/2020
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